Organization
ARIZONA EASTERN STAR RETIREMENT CENTER
Active
Organization
ARIZONA EASTERN STAR RETIREMENT CENTER
Active
Other names
Arizona Eastern Star Home
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA PARHAM (ADMINISTRATOR)
(602) 954-9178
Entity
Organization
Contact information
Practice address
4602 N 24TH ST, PHOENIX, AZ 85016-5253
(602) 833-8344
Mailing address
4602 N 24TH ST, PHOENIX, AZ 85016-5253
(602) 553-8344
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALC-4559
AZ
314000000X
Skilled Nursing Facility
NCI-307
AZ
Other
Enumeration date
10/10/2005
Last updated
09/11/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up